JENNIFER J LIEB Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****97

License Status

INACTIVE

Business

First Name

JENNIFER

Middle

Last Name

LIEB

Business Name

JENNIFER J LIEB

Original Issue Date

08/27/2015

Effective Date

04/18/2018

Expiration Date

09/30/2020

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2018